Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $81.28	Professional		$39.81	$51.29	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $302.00 / $575.44	Facility		$125.89	$302.00	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $104.71	Professional		$95.50	$100.00	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $117.49	Professional		$38.90	$53.70	$117.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $190.55 / $213.80	Facility		$57.54	$190.55	$213.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $123.03	Professional		$48.98	$79.43	$123.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $57.54	Professional		$38.90	$53.70	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $79.43 / $117.49	Facility		$28.84	$79.43	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $72.44	Professional		$33.88	$46.77	$72.44